FSS INTAKE FORM

FamilySupportScotland Intake Form

Welcome to FamilySupportScotland. We provide free, confidential advocacy for children, young people and families in Scotland.This form helps us understand your situation so we can support you safely and appropriately.You can complete as much or as little as you feel comfortable with.Your information is confidential and stored securely. We will never share information without your consent unless someone is at risk of harm.

Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityPhone number

Post CodeCountry
Email
example@example.com
TextEmailWhatsAppVideo call
MyselfMy childA young person I care forSomeone elseI am a professional support a family
If someone else, please give their name,age and relation to you.
Understanding Family Rights(Scot)Help understanding Reports/decisionHelp get ready for a meetingSupport during meetingsEmotional supportHelp making a complaintOther
If other, please write
Social WorkSchool/EducationCAMHSGPPoliceReporter/SCRAFamily support workerSolicitorNone
I understanding(required)
I consent(required)
YesNoYes but with my consent first
YesNo
WebsiteSocial mediaProfessional referralFamily/friend
We aim to respond within 24–48 hours. If your situation is urgent or someone is at immediate risk, please contact emergency services 101 or 999 or other appropriate 24/7 helpline listed on our website.
Book Appointment*
Should be Empty:

FamilySupportScotland Intake Form